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Photodynamic therapy in dermatology: a review
Lasers in Medical Science, 08/11/09
Choudhary S et al. – In a review of the use of photodynamic therapy (PDT) in dermatology, it was concluded that treating superficial non-melanoma skin cancer, PDT has been shown to be highly efficient, despite the low level of invasiveness. The excellent cosmetic results after treatment are also beneficial.
Methods- PDT is used for the prevention and treatment of non-melanoma skin cancer.
- Until recently, clinically approved indications have been restricted to actinic keratoses, nodular and superficial basal cell carcinoma, and, since 2006, Bowen disease.
- The range of indications has been expanding continuously.
- PDT is also used for the treatment of non-malignant conditions such as acne vulgaris and leishmaniasis, as well as for treating premature skin aging due to sun exposure.
- Production of reactive oxygen intermediates like singlet oxygen depends on the light dose applied as well as the concentration and localization of the photosensitizer in the diseased tissue.
- Either cytotoxic effects resulting in tumor destruction or immunomodulatory effects improving inflammatory skin conditions are induced.
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